Account Setup
for
Pharmaceutical Services
  1. Get Registered. Download the Customer Registration Form and Inventory Forms below.

  2. Gather the Details.  Fill out the Customer Verification Form completely and the optional credit application

  3. Licenses. Provide copies of your DEA Registration, State Controlled Substance License (if applicable) and other State Licenses

  4. Send the completed Customer Registration Form, optional credit application and all licenses via Fax (480) 659-2353 or email to compliance@123compliant.com.

  5. We will contact you to confirm your information has been validated and your account is active

Space Planning

Pricing

Determine which Flat Rate Box size is right for you.

Credit Assessment_2

Apply for Credit

Download the optional Application for Credit.

Nurse Taking Notes

CIII-V Inventory

CIII-V Inventory form download

Doctor and Patient

Get Registered

Download the Customer Verification form and get started.

Medical form with stethoscope

CII Inventory

CII inventory form download.

Pharmacist  in aisle of Pharmacy

Non-Scheduled Inventory

Non-Scheduled Inventory form download

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